PDF(Pubmed)
Abstract：
UNASSIGNED: Elderly individuals are among the age groups with the highest risk of suicide. The coronavirus (COVID-19) pandemic forced isolation and resulted in an increased risk of depression, hopelessness, and perceived burdensomeness among the elderly, thereby increasing the risk of suicide.
UNASSIGNED: This is a case report of an elderly single retired school principal with obsessive-compulsive personality traits who developed depression with psychotic symptoms after being isolated following the movement control order (MCO) during the COVID-19 pandemic. The social isolation led to feelings of loneliness and hopelessness. The patient\'s depressive symptoms worsened after he developed physical illnesses, such as eye floaters, that affected his daily activities. This caused him to have suicidal ideation to the extent that he attempted suicide by ingesting 90 mL of pesticide. Two weeks prior to the attempt, he updated his will and asked his friend to keep it. After the suicide attempt, he vomited and had diarrhea and epigastric pain. He called his friend, who brought him to the hospital emergency room (ER). He was resuscitated and subsequently admitted to the intensive care unit (ICU). After being medically stabilized, he was transferred to the psychiatric ward, where further treatment was administered for his depression. His depressive symptoms and suicidal ideation improved after he was administered antidepressants and psychotherapy.
UNASSIGNED: The impact of the COVID pandemic has led to a surge in mental health issues such as anxiety and depression. The elderly are among the highest-risk groups of individuals to contract or die of COVID-19 infection, and they are also the most likely to develop mental health issues related to the pandemic. Furthermore, the risk of death by suicide is highest in this age group due to physical illness, social isolation, and the lack of a support system. This case also highlights the need for awareness of suicidal ideation screening among non-medical healthcare professionals and religious organizations to avoid the treatment gap.
UNASSIGNED: It is essential to enhance suicide risk assessment and management among the elderly after the COVID-19 pandemic.
UNASSIGNED: This is a case report of an elderly single retired school principal with obsessive-compulsive personality traits who developed depression with psychotic symptoms after being isolated following the movement control order (MCO) during the COVID-19 pandemic. The social isolation led to feelings of loneliness and hopelessness. The patient\'s depressive symptoms worsened after he developed physical illnesses, such as eye floaters, that affected his daily activities. This caused him to have suicidal ideation to the extent that he attempted suicide by ingesting 90 mL of pesticide. Two weeks prior to the attempt, he updated his will and asked his friend to keep it. After the suicide attempt, he vomited and had diarrhea and epigastric pain. He called his friend, who brought him to the hospital emergency room (ER). He was resuscitated and subsequently admitted to the intensive care unit (ICU). After being medically stabilized, he was transferred to the psychiatric ward, where further treatment was administered for his depression. His depressive symptoms and suicidal ideation improved after he was administered antidepressants and psychotherapy.
UNASSIGNED: The impact of the COVID pandemic has led to a surge in mental health issues such as anxiety and depression. The elderly are among the highest-risk groups of individuals to contract or die of COVID-19 infection, and they are also the most likely to develop mental health issues related to the pandemic. Furthermore, the risk of death by suicide is highest in this age group due to physical illness, social isolation, and the lack of a support system. This case also highlights the need for awareness of suicidal ideation screening among non-medical healthcare professionals and religious organizations to avoid the treatment gap.
UNASSIGNED: It is essential to enhance suicide risk assessment and management among the elderly after the COVID-19 pandemic.
摘要：
■老年人是自杀风险最高的年龄组。冠状病毒(COVID-19)大流行迫使隔离，导致患抑郁症的风险增加，绝望,和老年人的负担感，从而增加了自杀的风险。
■这是一例病例报告，报道一名具有强迫性人格特质的老年单身退休学校校长在COVID-19大流行期间，按照运动控制令(MCO)被隔离后出现抑郁症状，伴有精神病性症状。社会孤立导致了孤独和绝望的感觉。患者出现身体疾病后，抑郁症状恶化，比如眼睛漂浮物，这影响了他的日常活动。这导致他有自杀意念，以至于他试图通过摄入90毫升农药自杀。在尝试前两周,他更新了遗嘱，并要求他的朋友保留。在自杀未遂之后,他呕吐，腹泻和上腹痛。他打电话给他的朋友，把他带到医院急诊室。他被复苏，随后被送往重症监护病房（ICU）。在医学稳定后，他被转移到精神科病房,对他的抑郁症进行了进一步的治疗。服用抗抑郁药和心理治疗后，他的抑郁症状和自杀意念有所改善。
COVID大流行的影响导致了焦虑和抑郁等心理健康问题的激增。老年人是感染或死于COVID-19感染的最高风险人群之一，他们也最有可能发展与大流行有关的心理健康问题。此外，在这个年龄段，由于身体疾病而自杀死亡的风险最高，社会孤立,缺乏支持系统。该案例还强调了非医疗保健专业人员和宗教组织对自杀意念筛查的认识，以避免治疗差距。
在COVID-19大流行后，必须加强老年人的自杀风险评估和管理。
■这是一例病例报告，报道一名具有强迫性人格特质的老年单身退休学校校长在COVID-19大流行期间，按照运动控制令(MCO)被隔离后出现抑郁症状，伴有精神病性症状。社会孤立导致了孤独和绝望的感觉。患者出现身体疾病后，抑郁症状恶化，比如眼睛漂浮物，这影响了他的日常活动。这导致他有自杀意念，以至于他试图通过摄入90毫升农药自杀。在尝试前两周,他更新了遗嘱，并要求他的朋友保留。在自杀未遂之后,他呕吐，腹泻和上腹痛。他打电话给他的朋友，把他带到医院急诊室。他被复苏，随后被送往重症监护病房（ICU）。在医学稳定后，他被转移到精神科病房,对他的抑郁症进行了进一步的治疗。服用抗抑郁药和心理治疗后，他的抑郁症状和自杀意念有所改善。
COVID大流行的影响导致了焦虑和抑郁等心理健康问题的激增。老年人是感染或死于COVID-19感染的最高风险人群之一，他们也最有可能发展与大流行有关的心理健康问题。此外，在这个年龄段，由于身体疾病而自杀死亡的风险最高，社会孤立,缺乏支持系统。该案例还强调了非医疗保健专业人员和宗教组织对自杀意念筛查的认识，以避免治疗差距。
在COVID-19大流行后，必须加强老年人的自杀风险评估和管理。
